NPI | 1487764080 |
---|---|
Doing Business As | COSTCO PHARMACY #736 |
Entity Type | Organization |
Authorized Contact | RICHARD STEPHENS SVP 425-313-8259 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: AZ 4359) |
Additional Taxonomies | 333600000X Pharmacy |
Enumeration Date | 2006-08-30 |
Last Update Date | 2023-11-30 |